Questionnaire for Adoption/Fostering

Name

First NameLast Name

What is the name of the animal that you are inquiring about?

Email

example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

We/I live in a:

Do you rent or own the property you live in?

If you rent, have you contacted your landlord to see if you are able to have this animal at your residence, or if there are any restrictions?

For dogs only: Do you have a yard and/or a designated area for your dog to play and go to the bathroom? Please explain:

Names and ages of all permanent residents of your home (adults/children)?

Are you:

If you currently have any pets, please list them below (ages, names, breeds, sex):

Species, Breed Name, Age, Sex

If you do have pets, are the spayed/neutered?

If your pets are not spayed/neutered, please explain why:

If inquiring about a cat: Do you have any experience with stray/feral cats, and socializing?

Do you currently have a veterinarian that you use? Please list the name of the veterinarian clinic:

Are you able to provide an area for this animal to decompress (decompressing is a calming period an animal needs when first arriving to a new home, allowing them to to adjust to their new surroundings and environment)?

When are you able to take in this animal under your care?

Do you feel financially stable to add pet into your home? Please explain. Please explain any concerns you have, if there are any.

Do you work in home or outside of the home? In estimation, how many hours a day will this animal be left alone?

In estimation, how much time a week will this animal have the chance to get exercise (for dogs: walking, playing in the back yard, hiking, dog park, etc.)?

Will this animal be crate trained? Please explain:

Will this animal be kept indoors or outdoors? Please explain:

What, if anything, would make you abandon or take this animal to a shelter?

Do you have any other questions or concerns about adopting this animal at all?

I acknowledge that all information on this form is true and correct. I understand that by signing this form, it does not mean that I have officially adopted any animal, but have filled it out only for informational purposes, to allow all involved to make sure that I am the best fit for said animal in the application.

Date

Signature:

Adoption/Foster Questionare Form: